The Covid-19 pandemic continues to have a profound impact on the regional dynamics of migration and mobility, with profound health, social and economic consequences for the most vulnerable, including migrants, displaced populations and their communities. reception, and returnees.
This update covers a period of 4 months: January – April 2020


The Philippines is extremely prone to natural disasters. Roughly 20 typhoons enter the Philippine area of responsibility every year, and these can cause widespread damage and destruction. The most notable recent example is Typhoon Yolanda, which resulted in over 6,000 fatalities and cost billions of pesos in damages. Such havoc could have been reduced if more thorough and modern measures had been taken to prepare the affected areas for the storm.


Background: While morbidity with surgical abortion is rare, later gestational age is a known risk factor for complications. Referral to a second healthcare provider delays abortion and this delay may result in significant increases in gestational age at the time of procedure. Referral may also increase the patient-incurred costs associated with obtaining an abortion.
No previous studies have examined the impact that referral to the hospital based setting has on patients seeking abortion care. Of particular interest to us is that women report referral for obesity and history of cesarean section, which for the most part do not require hospital-based care. To date no systematic evaluation has been conducted of obesity or history of cesarean section as factors associated with referral. Statement of Purpose: This study was designed to compare sociodemographic and clinical factors between patients referred from outpatient abortion clinics to hospital-based care with those presenting directly for hospital-based care in Philadelphia, PA. We also sought to compare the associated care-delays and patient-level costs between these two groups. We hypothesized that obesity and history of cesarean delivery are associated with referral, and that referral is associated with care-delay and increased costs. Methodology: In this cross-sectional study data were gathered through patient surveys and medical record review. Dependent variables included wait time, defined as date from first phone call to a provider to date of procedure, and patient-level costs for healthcare and associated expenses. A sample size of 85 participants per group provided us with 80% power to assess obesity, and 90% power to assess cesarean delivery as risk factors for referral, with a type I error of 5%. Multivariable logistic and generalized linear models were utilized to evaluate predictors of referral, wait time, and cost. Important Findings: Two-hundred-one participants were enrolled; 85 referred from outside abortion clinics, and 116 presenting directly to our hospital-based clinic. We found that the two referral groups differed significantly in every sociodemographic category except age. After controlling for differences in sociodemographics and health history, we found that morbid obesity was statistically significantly associated with referral from another facility (OR 7.51, p=0.008). Women referred from an outside facility had a median wait time of 28 days (IQR: 19-49), compared to 12 days (IQR:8-27, p=0.019) for non-referred patients.


Did you know that insomnia can be an early symptom of pregnancy? When insomnia appears in early pregnancy, it’s commonly related to shifting hormonal changes, but other issues, such as frequent bathroom trips and nausea, can cause it.
pregnancy
2 Articles
Most new moms-to-be understand that sleep deprivation will become a reality once the baby is born. However, many women don't realize that pregnancy insomnia can occur during the first or third trimesters.


By Rabbi Michael Kushnick
Preparing for Pesach requires an incredible amount of time and energy. Shopping, cleaning, kashering and cooking are just a few of the tasks that must be completed before the holiday begins. There is a significant concern for ridding every part of our home of chametz (leavening) during the preparation. The different methods of removing chametz from our homes might be tedious, but the work needed to accomplish this makes a lot of sense. We become obsessed with removing physical chametz. In fact we rid ourselves of chametz in three ways: By selling it by searching for and burning it; and finally, by declaring that anything left is no longer ours. By following this process, we not only remove chametz from our homes, we also gain a spiritual insight into our lives.
The rabbis suggest that chametz transcends the physical world. Chametz also symbolizes the puffiness of the self; an inflated personality and an enlarged ego. To some degree, everyone has these traits. It is human nature to experience these feelings, but it is not good; it harms others as well as ourselves. What if, during the preparation, we were as obsessed with ridding our own bodies of chametz as we are with removing it from our homes? Just like in the home, when we find one crumb of chametz and quickly search for the next, so too in your soul, when you find one instance of chametz — of inflated ego — quickly search for the next instance. Try to dig deep inside your soul by focusing on your conduct since the previous Passover. Isolate the occasions during which you might have acted with an inflated ego, and make a list of those occasions. The list should help you understand a pattern, know if you’ve wronged someone else, and how to repair that wrongdoing. It is hard work, but it is necessary work. Let’s not lose sight of what Pesach is truly about: Ridding all chametz — both spiritual and physical — from the world. When we do this, we can be the holy people that God brought out of Egypt. Next year, may we be free from all forms of an inflated self and ego, and truly live as free people. Rabbi Michael Kushnick has served at Congregation Anshai Torah in Plano since 2013.


Today Japan’s largest mobile telecoms operator NTT DOCOMO announced a major web3 initiative partnering with Accenture. It also committed to investing 500 to 600 billion Yen ($3.4 bn to $4.1bn) in the web3 sector and will incorporate a subsidiary next year. It intends to use the Astar Network, a multichain smart contract platform that is one of the Polkadot blockchain’s parachains.
The financial investment will come over a period of five to six years.
It plans to engage a variety of industries by using decentralized autonomous organizations (DAOs), an alternative to a corporate entity that aims to democratize the management of blockchain protocols. Given that DAOs are evolving, there’s a risk of repeating the mistakes of enterprise blockchain consortia.
However, the NTT group has extensive experience in that department, which should help to avoid the pitfalls for consortia.
DOCOMO positions itself as a web enabler and identified four aspects where it plans to be active, starting with security, a blockchain wallet and crypto asset exchange and progressing into token issuance and other web3 activities.
The partnership announcement with Accenture did not mention the Astar Network and focused on using blockchain and web3 to address social issues: ESG, blockchain safety, and developing web3 talent.
Top of the list is to promote environmental, social and governance (ESG) issues, including addressing United Nations Sustainable Development Goals. We observe that blockchain has been extensively used for ESG, not least for tokenizing carbon credits, a somewhat controversial topic.
Public blockchain scams and smart contract bugs have meant that some view public blockchain as risky. DOCOMO aims to address this to enable users adopt new technologies safely.
“Web3 is the most impactful technological development since the Internet,” said Motoyuki Ii, president & CEO, NTT DOCOMO. “DOCOMO, in collaboration with Accenture, will revolutionize social infrastructure by utilizing blockchain and building a safe and secure Web3 environment. We will build an environment where the power of creators and developers can come together. We are glad to be promoting the Japan-developed Web3, and we welcome individuals and companies to join us in the global development of Web3 services.”
To date, DOCOMO has not been a major blockchain player, mainly participating in telcoms blockchain consortia such as the Carrier Blockchain Study Group.
However, NTT Data has been very active. That includes as a consultant in some major successful projects, such as Italy’s Spunta for interbank reconciliations. It is also the driver behind TradeWaltz, a major Japanese supply chain blockchain platform with some similarities to TradeLens and GSBN.


Using CPG to Support Wind and Solar Energy
CPG (CO
2 Plume Geothermal) technologies are geothermal power systems that use geologically stored CO 2 as the geothermal heat extraction fluid. This study investigates the potential that CPG may have for supplying electricity demand as part of a renewables-heavy electricity system. It finds, among other conclusions, that CPG technology can enable using geothermal energy in North Dakota for electricity generation and/or energy storage, but that policy (e.g., a CO 2 tax) is needed to justify using renewable energy technologies on a cost-basis compared to natural gas power plants.


Widow of plumber receives compensation following her husband’s exposure to asbestos and premature death
The widow of a former plumber from the Isle of Sheppey, who passed away from mesothelioma a mere 6 months following the onset of symptoms, has received compensation from the insurers of his former employer.
Our client, “Mr X” died prematurely after developing the asbestos-related condition mesothelioma (a cancer of the lining of the lung caused by inhaling asbestos fibres) – some 3 months following his diagnosis.
Between 1955 and the early 1960’s Mr X was employed by The Sheerness and District Economical Co-Operative Society Limited, initially as a labourer before completing his apprenticeship as a plumber. He worked on various domestic sites handling, cutting, drilling and fitting asbestos cement rainwater goods and corrugated asbestos cement roofing sheets for garages as well as cutting holes in asbestos water tanks and wiping out the asbestos debris and dust with a cloth.
He also undertook maintenance work in offices, boiler rooms, the dairy and bake houses, stripping and removing old asbestos insulation and mixing and applying new asbestos lagging.
Despite this significant and prolonged exposure, which often saw him covered in substantial quantities of asbestos dust in the process, Mr X was not provided with any protective breathing equipment to prevent him from inhaling the dangerous fibres.
In September 2019, Mr X experienced respiratory symptoms including breathlessness and chest pain, and after suffering recurrent pleural effusions requiring aspiration, investigations confirmed a diagnosis of mesothelioma.
The medical expert instructed in the case, confirmed that Mr X’s mesothelioma had reduced his life expectancy by 3 years.
In August 2021, his widow pursued a compensation claim against The Co-operative Group Limited. The Defendant’s solicitors denied breach of duty and claimed that Mr X’s exposure had only been “low level, occasional, incidental and short-lived”. The case was listed for a hearing but before the hearing took place, the Defendant made an offer to settle the claim. Negotiations continued for a short period resulting in an increased six-figure settlement offer by the Defendant, which was accepted.
“The rapid decline in my client’s health due to mesothelioma was particularly shocking and traumatic for his family. Their suffering was prolonged by the Defendant’s failure to admit at an early stage in the case, their failure to take any steps to protect their employee at a time when it was already known that asbestos dust could kill. His family had no option but to start court proceedings and even then, the claim was denied. The settlement offers which followed quickly confirmed what I always thought – that this was an indefensible claim which should have been settled quickly. Whilst the end result was acceptable to my client, no amount of money can replace her husband. Sadly, this outcome was entirely avoidable”
Isobel Lovett leads the Hodge Jones & Allen Asbestos Team based in London and Liverpool. Isobel is a partner with a long career in representing clients who have developed mesothelioma and other asbestos diseases usually whilst during their employment. She has built a reputation for tackling complex cases and winning them.


As you already know, spring rhymes with sugaring off! Personally, I love the pleasures of the table associated with this time of year. While many take the time to cook a good meal at home under this theme, others prefer to gather as a family at the sugar shack.
Maple syrup
Maple syrup is definitely my favorite sugaring-off ingredient.It has rich and complex flavors and I often include it in my recipes. This type of sugar stands out from others for several reasons. I recently discussed it in a nutrition capsule:Best Quebec product: Maple syrup.
Eating well at the hut, mission possible?
Thanks to this video in collaboration with MétéoMédia, I had the chance to visit the Érablière Au Palais Sucré to discuss with the owner Danielle Roy the choices available on their menu.
Discover all my tips for eating well at the sugar shack, in this video:
For more nutrition capsules, visit the section
VIDEOS!
Watch my most recent nutrition capsules in collaboration with MétéoMédia Winter sports, what to eat?


Ten organisations, including Publish What You Fund, have this week praised US congressional and administration efforts to improve federal financial transparency.
In a letter sent on June 21st, the organisations state that the recently introduced Digital Accountability and Transparency Act of 2011 (or DATA Act), and President Obama’s June 13, 2011, Executive Order would transform federal spending transparency.
The DATA Act would establish a federal transparency board, with the mission of expanding spending transparency to the entire government and identifying government-wide data standards.
President Obama’s executive order also immediately establishes a Government Accountability and Transparency Board that in the coming months will develop a plan to integrate government spending data.
These are encouraging developments, however the letter also notes that the DATA Act would sunset after seven years. Similarly, President Obama’s Executive Order has a lifespan that relies on the willingness of his administration to pursue transparency objectives. For these reasons, Publish What You Fund and the other organisations that have signed the letter urge that these commitments be extended indefinitely.


Website deprecated and outdated. Click here for the new site. Marco Bögel M. Sc. Alumnus of the Pattern Recognition Lab of the Friedrich-Alexander-Universität Erlangen-Nürnberg Flow Quantification using 4D Digital Subtraction Angiography
C-arm CT angiography is an established modality for cerebral imaging as it provides very high spatial resolution. Acquisition of two scans, one with injected contrast agent and a mask scan without contrast agent, 3D digital subtraction angiography images (3D DSA) can be computed. While this allows for excellent visualization of the vasculature, the images are not temporally resolved.
In contrast, traditional 2D DSA projection images provide temporally resolved images. However, due to vessel overlap, often multiple acquisitions are necessary, leading to increased dose and contrast agent.
4D DSA is a first approach to combine high spatial resolution and temporal information, using a special image acquisition protocol. It allows us to create 3D volumetric reconstructions of the vasculature with additional temporal information of the blood flow, as the contrast bolus is imaged with 30fps. However, vessel overlap and foreshortening in the projection images can lead to unreliable temporal information and therefore image artifacts, thus appropriate interpolation techniques are required.
Computational Fluid Dynamics (CFD) allows us to simulate blood flow, given a model of the vasculature. The aim of this project is the improvement of 4D DSA image quality using CFD simulations and ultimately blood flow quantification using 4D DSA.This entails an optimization of CFD boundary conditions such that they fit to the 4D DSA data. Based on the CFD results, 4D DSA image quality should be improved. In turn, these results can be iteratively be used to further refine the CFD simulation. Finally, we aim to extract quantitative flow measurements from 4D DSA images.


Highlight Identification of novel function for insect defense regulator in tomato. Achievement/Results
Research in Professor Linda Walling’s lab of the Center for Plant Cell Biology at the University of California, Riverside aims to understand the mechanism of action of leucine aminopeptidase A (LAP-A), a novel regulator of a branch of the insect defense response pathway in tomato. Previously, LAP-A’s role in defense was presumed to be a function of its peptidase activity. However, NSF-ChemGen Interdisciplinary Graduate Research and Training fellow Melissa Scranton discovered a novel secondary role for LAP-A as a molecular chaperone, providing protection of proteins from stress-induced damage. Current studies are investigating whether LAP-A’s role in defense includes protecting susceptible plant proteins during insect feeding. During this project, undergraduate Ashley Yee was trained in biochemical techniques and contributed significantly to the understanding of LAP-A’s molecular chaperone activity. This study demonstrates that plant LAP proteins are more complex than previously known and gives further insight into the types of potential defenses utilized by plants in response to insects.
Address Goals
Discovering a secondary function of LAP-A as a protective molecular chaperone advances our knowledge of protein usage for multiple roles within a organism. Knowledge regarding plant protection may aid in production of natural pest control mechanisms.


Abstract
The Parametric High-Fidelity-Generalized-Method-of-Cells (PHFGMC) micromechanical model is extended to include a local cohesive formulation for simulating discontinuities in multiphase composites. The nonlinear PHFGMC governing equations are obtained from a virtual work principle applied to both the local and far-field variables and solved using a new incremental-iterative formulation. The nonlinearity stems from the introduction of the cohesive zones in conjunction with damage evolution. The proposed formulation yields an overall symmetric system of equations and enables the implementation of advanced traction-separation laws available in the literature similar to the displacement-based finite element method (FEM). Two cohesive zone models are integrated with the PHFGMC with a unique nonlinear formulation. These are the non-potential based model proposed by Camanho and Davila (CD) and the potential based Park–Paulino–Roesler (PPR) model. This article presents comparisons with FEM and the applications of this modeling approach. The predictions of damage initiation and evolution, as well as the overall stress–strain response of the cohesive PHFGMC are shown to be in good agreement with those from a finite element analysis for various configurations and loading patterns.
Keywords Arc-length method Cohesive zones Damage progression HFGMC Micromechanics Variational formulation


Abstract
Traditionally, it is theorized that skin sensation is initiated when cutaneous sensory afferents and Merkel cells receive sensory stimuli, while epidermal keratinocytes were deemed to have no role. However, mounting evidence has shown that keratinocytes can initiate skin sensation by receiving sensory stimuli and transmitting sensory information to sensory afferents. Knowledge regarding the mechanisms by which keratinocytes receive exogenous stimuli is limited, with TRP channels and olfactory receptors having been proposed to serve as receptors for exogenous stimuli in keratinocytes. Recently, expression analyses have demonstrated the expression of multiple TAS2R genes in human skin. TAS2Rs are chemosensory GPCRs employed by taste cells to detect bitter-tasting substances. However, only subtypes TAS2R1 and TAS2R38 have been characterized in epidermal keratinocytes. We present evidence suggesting that subtype TAS2R14 is functionally expressed in epidermal keratinocytes. TAS2R14 transcripts and protein were detected in primary and N/TERT-1 keratinocytes. Additionally, keratinocytes responded to α-thujone, a TAS2R14 ligand, with an increase in intracellular free Ca
2+ concentration. The tastant-evoked Ca 2+ signals were found to be mediated by wild-type TAS2R14 and heterotrimeric G proteins. We conclude that TAS2R14 serves as a chemosensory receptor in epidermal keratinocytes and hypothesize that it enables the cells to recognize potentially harmful chemical substances. Bibliographical noteFunding Information:
We are especially grateful to Dr Philipp Roland Kaldis (Lund University, Sweden) for his invaluable advice and support. We thank Dr Graham Wright (Research Support Center, Agency for Science, Technology and Research, Singapore) for his technical assistance in the rescue experiments, and Dr Maik Behrens for his generous gift of pcDNA5/FRT-SSTR3-TAS2R14-HSV. We also thank the two anonymous reviewers for their comments which helped to improve this manuscript.
Publisher Copyright:
© 2021 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd
Keywords G protein-coupled receptors alpha-thujone calcium signaling humans receptors sensation PubMed: MeSH publication types Journal Article


Experiencing hardship is never easy. It can be agonizing, exhausting, and depressing. There have been times in my life when I have instantly sensed God’s awesome presence with me during difficult circumstances. But there have been even more instances when it seemed as though God was nowhere to be found.
While Jesus was in the garden of Gethsemane awaiting His fate, His sweat was like drops of blood falling to the ground as He prayed. He knew that what He was about to endure was going to be excruciatingly difficult. He didn’t even hesitate to ask God if He could be spared from the suffering. Jesus felt utterly alone. Even His friends had fallen asleep during the most crucial moment in his life.
Today, no one enjoys going through trials, especially feeling alone. But in these moments, God asks us to trust Him. hard times will pass. But with patience, prayer, and a heart full of hope and trust, we can live through them, knowing God can give us lasting peace and deep joy that will outlast any pain and sorrow.
“Let us run with perseverance the race marked out for us, fixing our eyes on Jesus, the pioneer and perfecter of faith. For the joy set before Him, He endured the cross, scorning its shame, and sat down at the right hand of the throne of God.” Hebrews 12:1-2
Let’s Pray
Yahweh, thank You, for the gift of Your Holy Spirit which comforts me during the difficult times in my life. Father, I ask for Your strength to empower me, and for hope to fill my heart. God, I walk through this current situation trusting You and believing that You have something good in store for me and those around me. Lord, I open my heart to Your will and Your way. In Christ’s name Amen.


During a storm event excess water from the Bay gets pushed on shore causing increased flooding. While wind is a major factor in coastal storms, water can have a much more damaging effect on properties. Oldsmar's location at the top of Old Tampa Bay puts us in an unique position for increased storm surge effects.
As we saw recently with Tropical Storm ETA, even a smaller storm event can cause significant flooding within the city. Understanding the reach and depth of the flood water due to storm surge can help us make informed decisions on future planning policies and infrastructure projects.
The maps below show the effects of storm surge through the end of the century. You can use your mouse to zoom in and out of the map, pause the slideshow, or go to a specific storm size to see how your business or residence will be affected by storm surge.
Note: These maps reflect storm surge with intermediate sea level rise of four feet by 2100. General storm categories based on likelihood are:


To achieve the goal of a central infrastructure for data, NanoCommons created a concept and corresponding tools and workflows to collects, integrates and enhances data from a variety of providers and disseminates it to a variety of interested stakeholders in a manner that is FAIR (Findable, Accessible, Interoperable and Reusable). The main idea is that data is only stored once in a public database / data warehouse optimised for this kind of data and it is then accessible via a common interface.
This is achieved by two possible routes depending on whether or not the data is already in a public database:
NanoCommons partners work with managers of existing data warehouses, like eNanoMapper, NIKC and ACEnano, to generate semantic annotations of their data models, which can be used by the NanoCommons KB harmonisation layer for mapping and harmonisation between different databases. In this way, the NanoCommons KB will provide common search, browsing, and data enrichment functionalities across these databases allowing users of the NanoCommons KB to seamlessly access all available data across all linked databases via a single query or request. This will guarantee that the data is accessible in the NanoCommons KB as prepared in its original primary source (no losing of information or version mismatch), but is additionally annotated by detailed descriptors of the data format (data schemas) in a human- and machine-readable form allowing for automatic on-the-fly integration and combination of the resources in analysis and modelling workflows. A public data repository, called the NanoCommons Data Warehouse (DW), is being developed to host the datasets curated and/or analysed within the NanoCommons KB that are not currently publicly hosted elsewhere (i.e. are only on an individual researcher’s computer for example). This DW is fully integrated into the KB in the same way as the other databases for complete interoperability. This way, additional data can made effectively open and reusable on demand, based on agreement reached between the NanoCommons project and the users as stated in the conditions of use of the NanoCommons DW.
Combined, these two approaches are designed to reach a core goal of NanoCommons to support the European nanosafety community and NanoSafety Cluster (NSC) with making the large volumes of data generated over the last 10 years, as well as the datasets currently being generated in ongoing projects, accessible to the public. Due to variety of data types and the existing fragmentation of nanosafety data and spread over a variety of databases using different database concepts and models, clearly defined and easy to implement, but still flexible, workflows are needed to facilitate the integration of these existing databases and/or datasets into the KB. At the same time, ensuring the quality of the datasets, their completeness, and their harmonised utilisation of ontologies, such that similar nanomaterials (NMs) and measurement end-points can be queried successfully is also essential. Details on these workflows are available separately for the data warehouse integration in the NanoCommons KB and for individual dataset upload to the NanoCommons DW.


Get ADA compliant with surface-applied tactile Redimat meshes
By Jenny LescohierJune 27, 2022
ADA compliance can be complicated but is of the utmost importance, especially on public job sites where visually impaired individuals might be bystanders.
Detectable Warning Systems (DWS) developed the original RediMat in 1994 as the forebearer of its line of ADA-compliant tactile warning products for visually impaired pedestrians.
Now a part of the proprietary product family of Mar-Bal Inc., DWS has advanced the flexible RediMats to include mesh reinforcement for added strength and increased durability.
This ‘next-level’ addition of adding engineered mesh strengthens its advanced properties ensuring a secure installation with longer-term durability.
Constructed of UV-protected, mesh-reinforced polyurethane material, the flexible RediMat is applied on a variety of surfaces (including both asphalt and concrete) and features a proprietary, pre-applied, peel-and-stick technology adhesive system.
This flexible system is designed to go down easily, installing in less than five minutes with no drilling required for traditional projects. Ultimately, the advanced RediMat cuts the installation time in half, reducing labor time and expense, according to DWS.
The glass-reinforced polyurethane RediMat is also unbreakable as it will not chip, crack or splinter. This material also conforms to uneven surfaces, making it suitable for numerous applications including: parking structures, concrete sidewalks, asphalt parking areas, garages and more.


Completed in 2020, the Millstream Fishway removed a longstanding barrier to returning adult coho salmon, opening seven kilometres of previously inaccessible spawning and juvenile rearing habitat. The project also enables cutthroat trout to move freely up and down Millstream Creek.
We expect this project, the largest we have taken on, will significantly increase the number of coho returning to the creek in the coming years.
The Challenge
The Millstream Watershed drains a 26-square kilometre area, from the Gowland Range in the Highlands, through Langford, Colwood and View Royal, and empties into Esquimalt Harbour.
Volunteers from the Goldstream Hatchery have worked for decades to build five fishways in the lower section of Millstream Creek, enabling adult coho salmon to navigate natural and artificial fish barriers. The Goldstream volunteers also installed a motion-detecting camera at the first fishway. As testimony to the success of this work, over 700 adult coho returning to spawn were counted in 2016.
However, an additional seven kilometres of high-quality habitat in the upper reaches of the creek was blocked by a barrier culvert at Atkins Avenue, near Mill Hill Regional Park in Langford.
Our Solution
We began in 2016 to design and fundraise for a new fishway to eliminate the barrier to fish passage.
Consisting of a series of 13 step-pools, the fishway provides access for coho and cutthroat to ascend to the culvert. The culvert itself was relined with concrete to extend its life and steel baffles were installed to aid fish movement through it.
Opening previously inaccessible habitat in many cases is 10 times more effective than restoring degraded habitat. We estimate that upwards of 3,000 more coho could eventually return to spawn in Millstream Creek each year.
Now that the fishway project is mostly complete, we will lead a community-based environmental stewardship program to ensure its long-term success by improving habitat upstream
To learn about the fishway, check out our webinar:
BEFORE - This culvert was inaccessible to salmon
We estimate that upwards of 3,000 more coho could eventually return to spawn in Millstream Creek each year.
AFTER - A new, salmon-friendly fishway


Personalized medicine has led to significant advances in the screening, diagnosis, prognosis, treatment and monitoring of several medical conditions. However, the confounding effect of comorbidities, polypharmacy and interindividual variability in homeostatic capacity on treatment outcomes makes the applicability of personalized medicine in the older patient population problematic. Furthermore, the significance of disease-specific end points, based on objective clinical parameters and biomarkers, is also questionable in frail older patients with poor functional status and limited life expectancy. The assessment of patient-centred end points, such as measures of frailty, independence and self-rated health, might be particularly useful to optimize therapies in this group. However, this can only be accomplished using robust and validated tools to objectively quantify patient-centred end points in clinical practice. This chapter discusses the issues with the routine use of personalized medicine in the older patient population, the importance of assessing patient-centred end points in the context of frailty and disability, the available tools to quantify key components of the comprehensive geriatric assessment (CGA) and their utility in selecting and monitoring specific interventions in this patient group.
Original language English Title of host publication Comprehensive Geriatric Assessment Editors Alberto Pilotto, Finbarr C Martin Publisher Springer International Publishing Chapter 7 Pages 69-77 Number of pages 9 ISBN (Electronic) 9783319625034 ISBN (Print) 9783319625027 Publication status Published - 2018
Name Practical Issues in Geriatrics Publisher Springer International Publishing ISSN (Print) 2509-6060 ISSN (Electronic) 2509-6079 Personalized Medicine Geriatric Assessment comorbidities polypharmacy interindividual variability


Difference Between a Salesman License & a Dealer's License
A car dealer's license is a requirement if you wish to start a dealership business. You may or may not also need a salesperson's license if you wish to work in your dealership as a member of the sales team. Each application carries its own separate fees and filing requirements, which vary by state.
Buying or Selling New or Used
A dealer license allows you to purchase new vehicles from existing car manufacturers and used vehicles from auto auctions on a large scale. As such, a dealer license is necessary to found and operate an auto dealership selling new or used vehicles in any state in the country.
A salesperson license, by contrast, only allows you to sell existing vehicles that a dealer purchases for sale to consumers. If you wish to buy and sell automobiles, you'll need both licenses.
Filing Requirements and Fees
Obtaining a dealer license carries many of the same requirements as founding a business. In most states, the licensing process is managed through the state Department of Motor Vehicles. While requirements vary from state to state, you should expect to provide proof of a federal tax identification number and evidence of your proposed place of business and business name registration with the state certifying agency; you must also provide proof of insurance to cover all vehicles for sale at your dealership.
The state's DMV website is your go-to resource for details of the application process. The California DMV website, for instance, contain a new dealer application checklist of everything you'll need to complete the application.
A sales license does not have the same business-related requirements, though you must still provide proof of personal auto insurance and have a clean driving record with no serious accidents or criminal violations. The fees to obtain a dealer license are usually much higher than a salesperson's license, as the dealer license entitles you to manage an entire business.
Surety Bond Requirements
Many states, including New York, Pennsylvania and Maryland, require you to submit a surety bond as a requirement of your auto dealer application. The amount varies by the size of your dealership but usually falls in the
$20,000 to $100,000 range, according to the New York State DMV. The surety bond provides relief in the event your dealership violates car sale laws or does not live up to the terms of a contract.
States don't usually require a surety bond for a salesperson's license. Colorado is an exception, requiring an applicant for a salesperson's license to submit a
$5,000 surety bond, according to the DMV website. License Renewal Requirements
A dealer and sales license require renewals at different times depending on the state you're operating your dealership in. For example, in Maryland a dealer license is valid for only a year, whereas in Pennsylvania it requires renewal for every odd-numbered year. In California, you must provide proof of continuing education in the auto industry to maintain your dealer license. A salesperson's license usually only requires the submission of a renewal fee and a continuation form for any existing surety bond if the state requires one.


Tragic Effects: Ethics and Tragedy in the Age of Translation confronts the peculiar fascination with Greek tragedy as it shapes the German intellectual tradition, with particular focus on the often controversial practice of translating the Greeks. Whereas the tradition of emulating classical ideals in German intellectual life has generally emerged from the impulse to identify with models, the challenge of translating the Greeks underscores the linguistic and historical discontinuities inherent in the recourse to ancient material and inscribes that experience of disruption as fundamental to modernity.
Friedrich Hölderlin’s translations are a case in point. Regarded in his own time as the work of a madman, his renditions of Sophoclean tragedy intensify dramatic effect with the unsettling experience of familiar language slipping its moorings. His attention to marking the distances between ancient source text and modern translation has granted his
Oedipus and Antigone a distinct longevity as objects of discussion, adaptation, and even retranslation. Cited by Walter Benjamin, Martin Heidegger, Bertolt Brecht, and others, Hölderlin’s Sophocles project follows a path both marked by various contexts and tinged by persistent quandaries of untranslatability.
Tragedy has long functioned as a cornerstone for questions about ethical life. By placing emphasis on processes of translation and adaptation, however,
Tragic Effects approaches the question of ethics from a perspective informed by recent discourse in translation studies. Reconstructing an ancient text in this context requires negotiating the difficult tension between comprehending the distant past and preserving its radical singularity.


ABSTRACT Background: Coffee is associated with a reduced risk of liver disease. This association is limited by important sources of confounding such as recall bias, healthy-user bias, and indirect measures of liver outcomes or health. We aimed to examine the impact of coffee consumption with liver fibrosis and steatosis in a nationally representative sample. Methods: We evaluated 4,510 subjects >20 years old from the 2017-2018 NHANES study that underwent both transient elastography and two 24-hour dietary recall examinations. We tested the associations between liver stiffness measurements (LSM) > 9.5 kpa or controlled attenuation parameter (CAP) and coffee consumption. We used decaffeinated coffee and tea consumption as controls. As sensitivity analysis, we included all drinks in one model, examined the impact of caffeine consumption, and adjusted for the Healthy Eating Index-2015 (HEI-2015) and sugar-sweetened beverage consumption as separate models. Results: The study sample described was aged 48 + 0.6 years, 73% were overweight or obese, 10.6% had diabetes, 47.5% reported participation in vigorous physical activity, and 23% drank > 2 alcoholic drinks per day. After multivariate adjustment, there was no association between coffee and controls with CAP. Subjects who drank >3 cups of coffee, but not other drinks, had 0.9 lower kPa (95% CI -1.6 – -0.1, p = 0.03). >3 cups of coffee were protective for LSM > 9.5 kpa (OR: 0.4, 95% CI 0.2 – 1.0, p = 0.05). Accounting for all beverages in the same model, only >3 cups of coffee remained independently associated with LSM (OR: 0.5, 95% CI 0.2 – 0.9, p= 0-03). Caffeine was not significantly associated with LSM at any dose. Finally, adjusting for sugar-sweetened beverage consumption and HEI-2015, coffee consumption remained associated with lower LSM. The protective nature of coffee consumption is therefore not attributable to caffeine and persists in participants regardless of their diet quality. Conclusion: Coffee is associated with lower liver stiffness but not steatosis as measured by CAP among US adults.


by Douglas Ankney
According to a report by sciencefriday.com, one in every two American adults is in a law enforcement facial recognition network. Most adults have unwittingly consented to the release of their photos that they have uploaded to social media, including dating sites.
While it’s impossible to determine the exact number of people in a facial recognition database, the Georgetown Law Center on Privacy and Technology reported that over 117 million people are in law enforcement facial recognition networks.
In addition, the Government Accountability Office found that in a four-year period the FBI conducted over 118,000 face recognition searches on its database.
U.S. Immigration and Customs Enforcement has mined the Department of Motor Vehicles databases of states that grant driver’s licenses to undocumented immigrants. And numerous police departments scan the faces of passersby using hand-held surveillance cameras.
But the accuracy of facial recognition technology is questionable. While Chinese authorities managed to locate and arrest a man in a crowd of 60,000 at a concert using recognition technology, Amazon’s software “Rekognition” misidentified 28 members of Congress and matched them with criminal mugshots. The rate of ID mismatch is far worse for women and people of color. Facial recognition can be thought of as a “faceprint.”
A computer analyzes each person’s unique facial structure, such as the distance between both eyes and the distance from the nose to the lips. It then maps those key features onto an existing image, or compares them against a database of existing images.
Apparently, these measurements are subject to change with varying facial expressions, which might account for some of the mismatches. Additional misidentification factors include jewelry, clothing, hairstyles and lighting.
Source:
sciencefriday.com
As a digital subscriber to Criminal Legal News, you can access full text and downloads for this and other premium content.
Already a subscriber? Login


What is CDP (Core Developmental Program) for Autism
CDP is a relationship-based therapy for children with autism. The intervention is called CDP because the therapist gets down on the floor with the child to play and interact with the child at their level.
CDP is an alternative to ABA and is sometimes used in combination with ABA therapies.
The goal is for adults to help children expand their “circles of communication.” They meet the child at their developmental level and build on their strengths.
Therapists and parents engage children through the activities each child enjoys. They enter the child's games following Child’s lead..
Six Key Milestones of CDP
CDP aims to help the child reach six key milestones that contribute to emotional and intellectual growth:
- Self-regulation and interest in the world
- Intimacy, or engagement in relationships - Two-way communication - Complex communication - Emotional ideas - Emotional thinking - Decision making
Therapists teach parents how to direct their children into more and more complex interactions. This process, called “opening and closing circles of communication,” is central to the CDP approach.
Overall, this method encourages children with autism to push themselves to their full potential. It develops “who they are,” rather than “what their diagnosis says.”
How does CDP work?
Sessions emphasize back-and-forth play. This builds the foundation for shared attention, engagement and problem solving. Parents and therapists help the child maintain focus to sharpen interactions and abstract, logical thinking.
Core Development Program (CDP)
It supports in:
- Strengthens Processing abilities
- Indulging in Authentic Emotional Relationship - Learning to Communicate and Interact with purpose - Learning to Think on their own - FLOOR TIME–covers Social Problem Solving and Sensory Processing
Copyright © 2022 KidsCare Paediatric Neurology Centre. All Rights Reserved. Powered By: Shree Soft Technologies


Old Dominion University, in collaboration with George Mason University, Virginia Tech and the University of Virginia, is creating an open-source data platform to integrate space-based satellite data with information collected from airborne, maritime and ground-based systems.
This information could help researchers monitor data for a host of issues, including flooding, wildfire prevention and response, pollution, transportation and power grid efficiency.
The Space Initiative, which stemmed from the 2019 MITRE University Innovation Exchange (UIX), a partnership that includes nine Virginia universities, the Virginia Space Grant Consortium and NASA, was created to address several issues, including environmental security, coastal resilience and transportation system efficiency.
This summer, the group held a series of workshops to address potential applications for the data by bringing university researchers, practitioners and problem-owners together. Topics included river health monitoring, flooding prediction and response, wildfire prevention and response, and transportation and power-grid efficiency.
"With the explosion of new and existing data sources from both space and Earth-based systems, we need a platform like this to bring the data together, turn it into useful information, then connecting problem owners and solution providers across the commonwealth," said David Bowles, executive director of the Virginia Institute for Spaceflight and Autonomy (VISA) and ODU lead for the Space Initiative working group.
The ODU team includes Tom Allen, professor of geography, and Emily Steinhilber, research assistant professor and ODU coordinator for the Commonwealth Center for Recurrent Flooding Resiliency.
Allen and Steinhilber's roles include engaging researchers and end-users who can benefit from the development of a "data cube" framework, a part of the Virginia Small Satellite Data Consortium, funded by the state.
They are focused on helping translate and integrate emerging technology developments for application to coastal flooding, coastal resiliency and flooding prediction and response.
Potential applications for the diverse array of satellite data, sensors and the Internet of Things (IoT) are nearly infinite. However, the university teams are already seeing rapid technology development transition to real-world problem solutions, such as "transportation and disaster management, long-term climate and environmental planning, human health exposure such as extreme heat and air quality, wildfire behavior, and river and water quality," Allen said. "We are seeing that convergence of location-based data allows us to tackle multiple problems and, gradually, maturation of such technology is finding implementation into the workforce and operational needs in all kinds of sectors related to resilience."
"This project is vitally important," Bowles said. "It's laying the foundation, through the data cube construct, for addressing real problems that all of us have to deal with."


Launched at 36,000g @article{vanLeeuwen2010LaunchedA3, title={Launched at 36,000g}, author={Johan L. van Leeuwen}, journal={Science}, year={2010}, volume={329}, pages={395 - 396} }
Peat mosses project thousands of spores in a turbulent vortex ring from a millimeter-sized pressurized cylindrical capsule. Most mosses, including peat mosses of the genus Sphagnum (about 285 species), disperse their spores by turbulent wind (1). In still air, spores (22 to 45 µm in size) sink at only 0.5 to 2 cm/s, ideal for wind dispersal (2). However, spore capsules, positioned on a short stalk, grow to heights of about 1 cm and do not extend into the atmospheric turbulent boundary layer…


ABSTRACT
This book examines how technological modernisation and innovation policies have been implemented in Russia from the Soviet era to the present day. It discusses how since about 2000 the Russian state has attempted to address the country’s excessive dependence on natural resources by implementing an ambitious programme of economic modernisation, including giving innovation more policy prominence, boosting state funding for research and development and innovation, and emphasising science towns and technology parks as key instruments for stimulating innovation. Based on extensive original research, taking a multidisciplinary approach, and including detailed case studies, the book explains why, despite these efforts, Russia is performing comparatively poorly in innovation outcomes. It argues that a key factor is the country’s political economy model in which science, technology, and innovation policies are mainly controlled and funded by the federal centre of power and led by domestic political and economic elites.


This year, the United Nations’ annual climate change conference—known as Cop27—is taking place in Sharm El Sheikh, Egypt, from November 6 to 18. Despite being the fifth Cop to be held in Africa, the event is already being dubbed by many as “the African Cop,” with the location proving particularly significant due to the devastating impact the climate crisis is already having on the continent.
Conversations are likely to focus on “loss and damage,” referring to the heavy financial burden placed on countries in the global south due to climate change. Many are calling for a loss and damage facility, or fund, financed by wealthy nations in the global north. This would help compensate poorer countries that are most affected by rising global temperatures, despite being the least responsible for greenhouse gas emissions.
As world leaders gather in Egypt to discuss how to best tackle the climate crisis, six African activists share their hopes for Cop27.
Adenike Oladosu, Nigeria
“This is the 27th Conference Of Parties, [yet we’re] still negotiating our realities; so many promises are yet to be fulfilled. At Cop27, we want to see actions beyond negotiation and promises. Climate finance has to be at the center of it all. Rather than channeling finance into opening coal plants or investing in fossil fuels, it should be channeled towards innovations aimed at sustainable development, the establishment of a loss and damage fund, and adaptation and mitigation.
“Africa accounts for only four percent of global emissions, so polluters should not be allowed to influence decisions for their good. Rather, decisions should be taken in favor of vulnerable countries, like mine, that are affected the most by the climate crisis.”


A review on micro-level modeling of solid oxide fuel cells Accessinfo:eu-repo/semantics/closedAccess Date2016 MetadataShow full item record Abstract
Solid oxide fuel cells (SOFCs) are ceramic based electrochemical devices operating at high temperatures and generates electricity and useful heat energy utilizing various fuels at a high efficiency. The main structure of the cell comprises a dense electrolyte coated with two porous anode and cathode electrodes. The electrolyte is responsible for the transfer of oxide ion while the electrochemical reactions take place in the electrodes. The cell performance is limited by the number of reaction zones known as triple/three phase boundaries (TPBs). Therefore, the electrodes play a crucial role in achieving high power as well as long service life. When the requirements that SOFC electrodes should meet are considered, the most successful electrode materials seem to be composite ones, including ionic and electronic conductive phases with pores for the gas transport. However, this combination is not enough alone since the contiguous contact of these three phases within the electrodes is also necessary to obtain electrochemically active reaction zones. The number of these areas can be a useful metric for predicting the cell performance or provide a relationship between the performance and microstructure. The determination of the electrochemical reaction zones at the micro-scale and the microstructural parameters influencing their density are required to link the microstructure to the performance. Therefore, in this paper, micro-modeling studies of SOFC electrodes through advanced microstructural characterization are reviewed. (C) 2016 Hydrogen Energy Publications LLC. Published by Elsevier Ltd. All rights reserved.


When you consider restoring a broken or decayed tooth with a dental crown, you commit to a procedure that requires you to care for the restoration and the underlying tooth. While dental crowns help restore broken, damaged, or decayed teeth with durable tooth caps, they require care specifically with eating, whether you have temporary crowns or permanent crowns on your damaged tooth.
The dental crown procedure entails at least two visits to the Phoenix dentist to prepare your tooth for fixing and receiving temporary crowns over the prepared tooth that remains in your mouth for three weeks. You must revisit the dentist three weeks later when the professional cements the permanent crown over your tooth. Meanwhile, you must endure the restrictions on the foods you can or cannot have with the temporary crowns.
The restrictions imposed upon you include avoiding sticky and chewy foods with the potential to grab and pull at the temporary restoration. In addition, you must avoid biting hard foods that can dislodge the crown or break it. You must eat from the opposite side of the mouth away from the affected tooth and also exercise caution when flossing your teeth by sliding dental floss between teeth instead of lifting the floss out to prevent dislodging of the temporary restoration.
After you get your permanent crown over the tooth, you must avoid foods rich in sugar because they damage your teeth, whether restored or not. Following placement of the permanent crown, you must refrain from eating nuts, crunchy vegetables, fruits, sticky foods, chewing gum, raisins, steak, and dried fruits. The restrictions are merely for the crowned tooth and not the rest of your mouth. You can eat the foods described herein from the other side of your mouth, ensuring you don’t bite with the restored tooth.
You must also exercise care when flossing your teeth and follow the instructions of the dentist near you using similar techniques to floss your teeth as you did with the temporary crowns.
You can inquire with the dental crown provider about the food to eat after a Crown, confident that the professional will not recommend not eating chips with the permanent restoration. However, you must wait for the dental cement to adhere securely to the underlying tooth before you start biting chips with the fixed tooth. Meanwhile, if you cannot hold yourself back, you can eat chips from the other side of your mouth to safeguard your dental crown.
When dentists fix your tooth with a permanent Crown, they use special dental cement to achieve their goal. Although the cement bonds restoration to your tooth and is hardened using ultraviolet light, it requires time to set before you can use the restored tooth, like your remaining teeth.
Initially, the dentist restricts you from eating anything until the anesthesia provided during the restoration wears off to prevent incurring injuries to your mouth and needing additional treatments. The anesthesia requires at least four hours before you feel comfortable eating and chewing foods.
With permanent crowns, you find it beneficial to avoid sticky and hard foods during the initial 24 hours. After that, you can start eating, drinking, and cleaning your tooth. However, you might experience sensitivity and tenderness around the crown during the first few weeks. The sensitivity emanates from the dental work to fix your tooth and remains with you for a few weeks before it subsides. Therefore it helps if you have a diet of soft foods for a few weeks after fixing your tooth.
If you experience excessive pain, bleeding, swelling or reaction to medications the dentist provides, you shouldn’t hesitate to call the Phoenix dentist for assistance as soon as possible.
Although fixing a damaged tooth is not challenging with a dental crown, you must prepare yourself to endure some challenges with the foods you have for a few weeks following the procedure. After that, you can use the restored tooth, remaining careful not to damage porcelain crowns if you have them as restorations.
All Smiles Dental Care provides dental crowns to patients instructing them to follow their instructions stringently to ensure they don’t develop complications with their restored tooth. If you need dental crowns and are apprehensive about when you can eat after fixing your tooth, please arrange a meeting with this practice to educate yourself and receive the restoration over your tooth.


Families
When someone in your family is experiencing disappointment or hurt, the entire family will be influenced by this person’s mood and behavior. Children who experience academic difficulties, bullying, or peer difficulties at school will return home and share their frustrations by engaging in conflict with their siblings, by opposing guidance from their parents, or by isolating in their room. Regardless of the manner in which the child copes with stress in their life, parents and siblings will notice that the child is not feeling well and wonder what is going on with them. Family therapy provides an opportunity for children to communicate the experiences that are overwhelming to them while enabling parents and siblings to participate in understanding how the child’s emotions and behavior impact them as a group. When families work together as a group, they can powerfully unite to create a system at home that is supportive of each person and that allows the family to restore from the difficulties of the day.
There are other moments in life when the entire family experiences sadness, grief, trauma, or loss at the same time. When a family confronts a painful life event together, the emotional intensity of these moments can be overwhelming for everyone. Family therapy can assist families in working together to stay united as a group as they process difficult life situations like death, divorce, ongoing medical difficulties, moving, and unexpected changes in employment & finances. A family therapist can assist each member in the family of having a voice to communicate their individual concerns while developing a plan that coordinates family functioning in an organized and predictable manner. Sometimes, family therapy involves assisting blended families in processing the rewards and challenges of uniting children from previous relationships. While the parents of children in blended families have previous experiences of operating as a family, they can experience significant surprises and disappointment as their newly developing partner relationship is challenged by previous partners and children who are emotionally overwhelmed with the many changes. Family therapy can provide space and time for parents to safely explore the challenges directed at their relationship. During other family therapy sessions, children can be included in the session to provide a structured and predictable way to develop household guidelines and rules that enable the newly created family to function more effectively


Stromatis Pharma Industry: Cancer/fibrosis pharmaceuticals
Stromatis Pharma is developing a secreted frizzle-related protein 2 (sFRP2) antagonist for reverting stromal stellate cells. Such cells encourage inflammation and the thickening of scar tissue to create areas “friendly” to tumor growth; Stromatis’s antagonist aims to bring the cells back to their quiescent states. The treatment is a novel therapeutic for cancers and fibrotic diseases, such as pulmonary fibrosis and liver cirrhosis.
In normal circumstances, fibrotic tissue can surround a tumor, protecting it from effective chemotherapy or immune-oncology treatments. Stromatis’s treatment can prevent or significantly slow this process, rendering tumors easier to treat.
Stromatis has already produced monoclonal antibodies against sFRP2. Studies are underway to evaluate the biological effects and anti-tumor activity in animal models. The current focus is on the specific treatment of pancreatic ductal adenocarcinoma.
This potential drug is positioned to be the first therapeutic antibody against sFRP2.


In biology classes, we were always told about the key components of a balanced diet, which were: Carbohydrates, Proteins, Vitamins and Minerals. However, amongst all this, there remains one untold component and a hidden hero, fiber.
Many people don’t know much about it, despite its key role in our life. What is fiber?
It is a plant-based material. While humans consume it, roughage is not broken down by our digestive system due to the absence of a certain carbohydrase enzyme. Animals such as cows, whose entire diet is plant-based, have the enzyme cellulase to digest it.
What does fiberdo?
It absorbs water and adds bulk to your waste. This softens the metabolic waste and makes it easier to pass out. Without it, metabolic waste would harden up and would be difficult to pass out, resulting in constipation.
Disadvantages ofFiber:
An excess of can cause problems such as diarrhea, bloating and abdominal pain, hence the key is to not overindulge in it and only use the required amount in your meals.
Nonetheless, fiber has a vital role in our bowel movements and, if carefully used, poses no problem to our health.


The U.S. Department of Housing and Urban Development’s (HUD) Office of Inspector General audited the Benkelman Housing Authority based on a request from the U.S. Department of Housing and Urban Development, Office of Inspector General (HUD OIG), Office of Investigation. Additionally, HUD conducted an onsite assessment in May 2016 and identified concerns, including procurement, income verification, travel policy, and significant control deficiencies. Our audit objective was to determine whether the Authority followed HUD’s rules and regulations for public housing programs related to procurement and maintenance, tenant certifications, laundry machine income, and expenditures.
The Authority did not always comply with procurement and maintenance policies, improperly completed initial tenant certifications and annual recertifications, improperly certified tenants with potential conflict-of-interest relationships, and mismanaged its laundry machine revenue.
We recommend that the Director of HUD’s Omaha, NE, Office of Public Housing require the Authority to provide adequate documentation to support that the $71,034 spent for improperly procured goods and services was spent at the most competitive prices and provide adequate documentation to support more than $15,000 spent for maintenance activities. Additionally, we recommend that HUD (1) work with the Authority to develop a formalized process, such as a checklist, when conducting initial certifications and annual recertifications, which would help to ensure that it follows HUD requirements for its public housing program; (2) require the Authority to conduct a 100 percent review of its tenant files to ensure that tenants’ rents are accurate and the proper income, asset, and medical expenses are complete and documented in the tenant files; and (3) require the Authority to address actual or potential conflict-of-interest relationships in its Admissions and Continued Occupancy Policy. We also recommend that HUD require the Authority to develop and implement detailed policies and procedures to address collections, tracking, and use of its laundry machine revenue.


Tracing the development of the field of southern women’s history over the past half century, Sisterly Networks shows how pioneering feminists laid the foundation for a strong community of sister scholars and delves into the work of an organization central to this movement, the Southern Association for Women Historians (SAWH).Launched in 1970, the SAWH provided programming, mentoring, fundraising, and outreach efforts to support women historians working to challenge the academic establishment. In this book, leading scholars reflect on their own careers in southern history and their experiences as women historians amid this pathbreaking expansion and revitalization of the field. Their stories demonstrate how women created new archival collections, expanded historical categories to include gender and sexuality, reimagined the roles and significance of historical women, wrote pioneering monographs, and mentored future generations of African American women and other minorities who entered the academy and contributed to public discourse.Providing a lively roundtable discussion of the state of the field, contributors comment on present and future work environments and current challenges in higher education and academic publishing. They offer profound and provocative insights on the ways scholars can change the future through radically rewriting the gender biases of recorded history.
Contributors: Catherine Clinton | Michele Gillespie | Glenda E. Gilmore | Cherisse Jones-Branch | Melissa Walker
A volume in the series Frontiers of the American South, edited by William A. Link


Scope of Policy
As a public institution, Kaskaskia College is accountable to taxpayers, students and employees, and is committed to the highest standards of ethical behavior. All employees of Kaskaskia College contribute to the successful operation and positive reputation of the institution. By working with integrity and committing to high ethical standards, each employee adds to a culture of honesty and accountability. This policy outlines principles to ensure that ethical standards are maintained and individuals are encouraged to report or disclose allegations of internal wrongdoing.
Fraud or Illegal Activity is wrongful or criminal deception intended to result in financial or personal gain. Examples include but are not limited to: Any dishonest or fraudulent act Crimes or violations of a law, rule, or governmental regulation Abuse of authority Gross mismanagement or waste Endangerment of the health or safety of an individual Gross negligence of duty Unauthorized disclosure of confidential and proprietary information Improper use of property or assets (vehicles, facilities, computers, e-mail, etc.) Misreporting actual time or hours worked Corruption, bribery, or blackmail Misappropriation of assets, embezzlement, and theft Accepting or seeking anything of material value from contractors, vendors, or persons providing services/materials to the institution Participation in sham or fraudulent transactions Authorizing or receiving payment of goods not received or services not performed Forgery or alteration of accounting or student records such as residency status, transcript changes, etc. Harassment in the workplace Health code violations Discriminatory employment practices Actions related to concealing or perpetuating abovementioned activities Responsibility
Each employee, regardless of rank or position, is responsible for safeguarding college resources and ensuring that those resources are used for the benefit of the institution. If wrongdoing or fraud is suspected or observed, employees are required to report the activity immediately.
Managers in each department have the responsibility of managing integrity and fraud risks that may occur within their department. This involves setting a tone of honesty and integrity, instilling awareness among staff of policies and procedures, identifying risks in their areas that may be harmful to the institution, instituting preventative measures, and following the steps in this policy for reporting integrity breaches and fraud.
Reporting
This College policy is derived from the Illinois Whistleblower Act. A “whistleblower” is a person who exposes any kind of wrongdoing that is deemed illegal or unethical within an organization. The College recognizes that the decision to report a breach or suspected breach is difficult. However, employees contribute to the success of the College by identifying and reporting breaches of integrity, fraud, or illegal activities.
A whistleblower is protected from retaliation resulting from exposing wrongdoing, or participating in a workplace investigation of wrong doing. Retaliation can include, but is not limited to: termination, demotion, decreased compensation, poor work assignment, harassment, threat of harm, or missed training opportunities. Whistleblower protection does not extend to immunity for any personal wrongdoing that has occurred.
Additionally, any college employee who retaliates against a whistleblower is subject to discipline up to and including termination of employment. Retaliation from members of the Board of Trustees is prohibited as well.
Finally, the College empowers employees to report concerns, and exercise sound judgment to avoid baseless allegations. An employee who intentionally files a false report of wrongdoing will be subject to discipline up to and including termination.
Remedial Action
If, after an investigation, it is determined that the allegation has merit or is materially true, the College reserves the right to take all appropriate actions including terminating the employment of the perpetrator, reporting the breach/fraud to government authorities, and pursuing legal actions, both civil and criminal, against the perpetrator.
Please see associated procedures for reporting guidelines, and contact an Ethics Officer or a Human Resources professional if you have any questions.
Replaces Fraud Awareness and Whistleblower Protection Policy 1.04 approved July 24, 2017.


Maternal placentophagy, although widespread among mammals, is conspicuously absent among humans cross-culturally. Recently, however, advocates for the practice have claimed it provides human postpartum benefits. Despite increasing awareness about placentophagy, no systematic research has investigated the motivations or perceived effects of practitioners. We surveyed 189 females who had ingested their placenta and found the majority of these women reported perceived positive benefits and indicated they would engage in placentophagy again after subsequent births. Further research is necessary to determine if the described benefits extend beyond those of placebo effects, or are skewed by the nature of the studied sample.


Abstract
Background. Bronchiolitis causes substantial disease in young children. Previous findings had indicated that a robust innate immune response was not associated with a poor clinical outcome in bronchiolitis. This study tested the hypothesis that increased concentrations of cytokines and chemokines in nasal wash specimens were associated with decreased severity in bronchiolitis. Methods. Children <24 months old who presented to the emergency department with signs and symptoms of bronchiolitis were eligible for enrollment. Nasal wash specimens were analyzed for viral pathogens and cytokine/chemokine concentrations. These results were evaluated with regard to disposition. Results. One hundred eleven children with bronchiolitis were enrolled. A viral pathogen was identified in 91.9% of patients (respiratory syncytial virus in 51.4%, human rhinovirus in 11.7%). Higher levels of cytokines and chemokines (interferon [IFN] ?; interleukin [IL] 4, 15, and 17; CXCL10; and eotaxin) were significantly associated with a decreased risk of hospitalization. IL-17, IL-4, IFN-?, and IFN-?-inducible protein 10 (CXCL10 or IP-10) remained statistically significant in the multivariate analyses. Conclusions. The cytokines and chemokines significantly associated with decreased bronchiolitis severity are classified in a wide range of functional groups (T-helper 1 and 2, regulatory, and chemoattractant). The involvement of these functional groups suggest that a broadly overlapping cytokine/chemokine response is required for control of virus-mediated respiratory disease in young children.
Keywords Bronchiolitis Chemokine Cytokine Infants and children Innate antiviral immune response ASJC Scopus subject areas Immunology and Allergy Infectious Diseases


Strutt & Parker is the appointed managing agent for the Church Commissioners’ Southern Rural Portfolio, working with this major landowner to deliver on a range of sustainable objectives.
The environmental credentials of incoming tenants have become an increasing focus of recent lettings we have carried out on their behalf.
Our goal is to find tenants who can run profitable sustainable farming businesses, while placing a strong focus on the environment and responsible stewardship.
For an insight into the approach being taken by such tenants, the Church Commissioners’ rural asset manager Zara Gower has launched a new ‘In Conversation with’ series.
The first instalment features Scott Norris, a second-generation farmer in Brentwood, Essex, awarded a new farming tenancy of Tan House Farm on the Church Commissioners’ Navestock Estate.
In the article, he talks about his approach to husbandry, how he is utilising technology, and his strategy to enhance biodiversity and the environment during his tenancy.
For example, he is currently in the process of undertaking a carbon audit using the farm carbon toolkit and has plans to enter the farm into mid-tier stewardship with a January 2023 start date.
The mid-tier agreement will involve creating buffer strips abutting watercourses, hedgerow planting and management, woodland edge management and dedicated areas for pollinator flower mixes.


Abstract
Surveillance video analysis plays a vital role in the daily operations of smart cities, which increasingly relies on person re-identification technology to sustain smart security applications. However, research challenges of re-identification remain especially in terms of recognizing the different appearances of the same person in a harsh real-world environment: (1) the adaptability of the selected features to the dynamic environment cannot be guaranteed, and (2) existing methods rooted from metric learning aim to find a single metric function, and they lack the ability to measure the different appearances of the same person. To address these problems, this study proposes a multiple deep metric learning method empowered by the functionality of person similarity probability measurement. The proposed method exploits multiple stacked auto-encoder networks and classification networks to quantify pedestrians’ similarity relations. The stacked auto-encoder networks directly recognize persons from surveillance images at the pixel level. The classification networks are equipped with the Softmax regression models and produce multiple similarity probabilities to characterize different appearances belonging to the same person. An Adaboost-like model is designed to fuse the probabilities corresponding to multiple metrics, which ensures a high accuracy of recognition. Experimental results on two public datasets (VIPeR and CUHK-01) indicate that the proposed method outperforms existing algorithms by 2%–10% at rank 1. Based on the similarity probabilities learned by the proposed model, the algorithm for matching the person pair can achieve a time complexity as low as O(n), which can be deployed at a large scale on the distributed intelligent surveillance network, with each node maintaining limited computing capabilities.
Scopus Subject Areas Software Theoretical Computer Science Hardware and Architecture Computer Networks and Communications Artificial Intelligence User-Defined Keywords Deep metric learning Person re-identification Similarity probability Smart security Surveillance video analysis


Abstract
How do we decide if the people we meet and the things we see are familiar or new? If something is new, we need to encode it as a memory distinct from already stored episodes, using a process known as pattern separation. If familiar, it can be used to reactivate a previously stored memory, by a process known as pattern completion. To orchestrate these conflicting processes, current models propose that the episodic memory system uses environmental cues to establish processing biases that favor either pattern separation during encoding or pattern completion during retrieval. To assess this theory, we measured how people's memory formation and decisions are influenced by their recent engagement in episodic encoding and retrieval. We found that the recent encoding of novel objects improved subsequent identification of subtle changes, a task thought to rely on pattern separation. Conversely, recent retrieval of old objects increased the subsequent integration of stored information into new memories, a process thought to rely on pattern completion. These experiments provide behavioral evidence that episodic encoding and retrieval evoke lingering biases that influence subsequent mnemonic processing.
ASJC Scopus subject areas General


The American Black Bear is among the smallest and heavily distributed bears throughout North America. They have evolved and adapted side-by-side with mankind, allowing for a more-or-less peaceful co-existence with them, minor skirmishes aside. This has led to them often wandering to human settlements for food, but prefer to avoid direct contact with the former. Though this may give off the impression that the black bear is friendly, it is still wild and should be cautiously approached.
These bears inhabit most of the North American continent, including the Appalachian Mountains, Maine, northern Georgia, the northern Midwest, the Rocky Mountain region, the West Coast, Alaska, Ohio, southern Indiana, the Driftless Area of southeastern Minnesota, northeastern Iowa, and southwestern Wisconsin.
Habitat
They inhabit relatively inaccessible terrain, thick understory vegetation, and large quantities of edible material, mainly in mountainous areas. Their common dwelling places include tree cavities, caves, under logs, and rocks during the hibernation phase.
Due to their versatile dietary habits, they have adapted to different habitats such as deciduous and coniferous forests.
Lifespan
They live for18-30 years in the wild, and 44 years in captivity.
What Do They Eat?
Being omnivorous, the adults have a varied diet of roots, berries, meat, fish, insects, larvae, honey, grass, and other succulent plants.
Behavior
They exhibit the curiosity seen in most other bears, often sniffing and standing up on their hind legs to observe and smell their surroundings intently.
Black bears are relatively quiet but will occasionally get noisy to signal their fellow mates.
When threatened, they slap the ground, blow air forcefully through their nose or mouth, and snap their teeth, failing which, the bear may run towards the source and then veer away.
These territorial bears demarcate their territories by clawing, biting, and rubbing on them.
It adapts to water quickly and is a good swimmer.
Those close to human settlements are nocturnal, while the bears inhabiting dens near the brown bears are diurnal.
Predators
Of the few natural predators, these include mountain lions, gray wolf packs, and brown bears.
Adaptations
The American black bear has a specialized organ called the Jacobson’s organ in the roof of the mouth that enhances its taste and smell.
Its strong curved claws help it in climbing trees and even to rip logs to acquire its prey.
They can use their fur as insulation to reduce blood supply to their limbs during hibernation and fluff it to look more prominent against predators.
Their long and sticky tongue helps them in gathering honey and berries with ease.
Mating and Reproduction
Their breeding phase lasts for two to three months. Both sexes are promiscuous, i.e., they have multiple partners, with violent fights breaking out between two males to claim a female.
Life Cycle
Cubs typically open their eyes after 28–40 days and walk after 5 weeks. They are dependent on their mother for 30 weeks and reach independence at 16–18 months.
They reach sexual maturity around three years of age and are fully grown at five.
Conservations Status
The IUCN marks the American Black Bear as “LC” or “Least Concern”, making it another of the bear species after the brown bear not threatened by extinction.
Interesting Facts
The American indegenous people often told tales of the black bear’s divine connection, since it was thought to be created by the Great Spirit.
The beloved children’s character Winnie-the-Pooh attained its name after Winnipeg, a female American black bear cub residing at the London Zoo.


In Europe, biodiesel prices have fallen to $800 per metric ton from $1,000 per ton but are still nearly double fossil diesel prices of around $480 a ton, about half what they were in mid-2014. Oil companies are complaining that blending with biodiesel is wearing away at refining margins.
Category: Fuels


Using intraday data, we study spillovers from European stock markets to the U.S. in the hours before the flash crash on 6 May 2010. Many commentators have pointed to negative market sentiment and high volatility during the European trading session before the Flash Crash. However, based on a range of vector autoregressive models, we find no robust evidence that spillovers increased at that time. On the contrary, spillovers on 6 May were mostly smaller than in the preceding days, during which there was great uncertainty surrounding the Greek sovereign debt crisis. The absence of evidence for spillovers underscores the difficulties in understanding the nature of flash events in financial markets.


The Zones of Regulation
At Forty Hill we use the Zones of Regulation to support our children in making choices. We encourage our children to understand and identify their emotions and in turn, the tools that support them in dealing with their feelings in an appropriate and effective way. Our aim is that through understanding and managing our feelings, we can in turn regulate our choices and behaviour. Our children are familiar with the green, red, blue and yellow zones. We encourage our staff and children to use this terminology when approaching discussions around emotions as a shared and common language making discussion accessible to all. Our children are also explicitly taught about toolboxes for coping in each zone with the end goal of being ready to learn. We offer our children a range of strategies for their ‘toolboxes’, encompassing sensory supports, thinking strategies and calming techniques.


The “return to normal” (albeit amid COVID’s continued circulation), along with inflation and a difficult economic environment, are the likely culprits behind a continued decrease in consumer spending on video gaming in the US. As reports The NPD Group, video game spending declined by 13% year-over-year in Q2, to $12.35 billion, after falling by 8% in Q1.
Overall content spending was about $11 billion in Q2, representing a 13% year-over-year decrease. This perhaps should be expected: in a recent survey, consumers pointed to video-game and video-game subscription purchases as being among their first cutbacks should they be faced with cost-of-living increases.
While spending on non-mobile subscription content actually grew during the quarter, the rest of the categories dropped, with mobile content having the largest role to play in the decline. Sensor Tower data cited shows consumer spending in mobile games falling by 12% year-over-year.
Among the other video game spending areas analyzed, Hardware spend dipped by 1% year-over-year, while Accessories spend saw a more substantial decline of 11%.
For more, read The NPD Group’s release here.


Physicians - maximum of 0.50 AMA PRA Category 1 Credit(s)™ Nurses - 0.50 ANCC Contact Hour(s) (0.5 contact hours are in the area of pharmacology) IPCE - 0.5 Interprofessional Continuing Education (IPCE) credit
This activity is intended for pediatric endocrinologists and advanced practice providers who are involved in the care and treatment of patients with pediatric GHD.
The goal of this activity is that learners will be better able to examine new and emerging growth hormone (GH) treatments for managing GHD with a team.
Upon completion of this activity, participants will:
Medscape, LLC requires every individual in a position to control educational content to disclose all financial relationships with ineligible companies that have occurred within the past 24 months. Ineligible companies are organizations whose primary business is producing, marketing, selling, re-selling, or distributing healthcare products used by or on patients.
All relevant financial relationships for anyone with the ability to control the content of this educational activity are listed below and have been mitigated. Others involved in the planning of this activity have no relevant financial relationships.
This activity was planned by and for the healthcare team, and learners will receive 0.5 Interprofessional Continuing Education (IPCE) credit for learning and change.
Medscape, LLC designates this enduring material for a maximum of 0.50
AMA PRA Category 1 Credit(s)™
Awarded 0.50 contact hour(s) of nursing continuing professional development for RNs and APNs; 0.50 contact hours are in the area of pharmacology.
For questions regarding the content of this activity, contact the accredited provider for this CME/CE activity noted above. For technical assistance, contact [email protected]
There are no fees for participating in or receiving credit for this online educational activity. For information on applicability and acceptance of continuing education credit for this activity, please consult your professional licensing board.
This activity is designed to be completed within the time designated on the title page; physicians should claim only those credits that reflect the time actually spent in the activity. To successfully earn credit, participants must complete the activity online during the valid credit period that is noted on the title page. To receive AMA PRA Category 1 Credit™, you must receive a minimum score of 75% on the post-test. Follow these steps to earn CME/CE credit*:
You may now view or print the certificate from your CME/CE Tracker. You may print the certificate but you cannot alter it. Credits will be tallied in your CME/CE Tracker and archived for 6 years; at any point within this time period you can print out the tally as well as the certificates from the CME/CE Tracker.
*The credit that you receive is based on your user profile.
CME / CE Released: 9/29/2022
Valid for credit through: 9/29/2023
processing....
Before you begin this activity, please assess your clinical knowledge by completing this brief survey. Answering these questions again after the activity will allow you to see what you learned and to compare your answers with those of your peers.


[2.5 Minute Read or Listen Below]
In a post almost two years ago, I confessed avoidance and fear of my weekly review. At the time, I celebrated the completion of an unprecedented streak of two consecutive reviews. Two weeks doesn't sound like an accomplishment, but it certainly was for me.
The purpose of my weekly review is to:
It is a very effective tool recommended by productivity icons like Stephen Covey and David Allen to prevent things from falling through the cracks. But because my task list overwhelmed me, I was doing a very selective weekly review, picking and choosing the pieces I wanted to look at and ignoring the rest. I called it my own personal "Ostrich Method." I buried my head in the sand and only selectively reviewed my task list, operating under the delusion the items I chose not to acknowledge didn't exist.
I have now reached a milestone of 100 consecutive weeks conducting a complete and comprehensive weekly review, and I've learned three essential lessons.
1.
Avoiding it makes it worse.
We're all juggling a lot, both personally and professionally. By sticking to the habit of reviewing my tasks and my calendar weekly, I'm no longer overwhelmed by it. In addition, I'm no longer surprised by forgotten deadlines and appointments, and I don't experience as much frantic catch-up.
I would love to believe not looking at a task on my list removes it from existence, but reality does not support this. Avoiding it comes back to bite you eventually.
2.
Knowing is better than not knowing.
As David Allen says, "Your mind is for having ideas, not holding them®." For most of us, life is incredibly complex, and there is no way to remember EVERYTHING in your head (or keep it on top of your desk). That's why a trusted system is a necessity. Your stress levels will plummet when you know how and where to find what you need. An effective system brings the right things to the forefront at just the right time.
Doing my review every week lets me know what's on the horizon, and I can make intentional choices about how I spend my time. Knowing I have made conscious choices is very calming because I know nothing is lurking to surprise me.
Now, don't get me wrong - sometimes things need to be reprioritized. But getting the big-picture overview every week keeps me in the know.
3.
You don't need to do everything.
I've been using my task/project management program since mid-2016. In early 2017, I started adding the date (MMDDYY) at the front of each entry. Adding the date lets me know how long an item has been in the system.
This visual subtly forces me to confront how long I've been deferring something. It causes me to ask myself if I'm delaying because it isn't essential after all or if I'm procrastinating. If I decide it isn't essential, I delete it. If it's procrastination, I need to either do it or delete it - and be okay with my decision.
As I said in January 2020, all tasks do not carry equal weight. We must make time to consistently and thoughtfully review our to-do lists, even if they seem scary. Our minds will only fixate on how overwhelming and long the lists are if we don't. Instead, focus on determining the essential items and work those into your schedule for completion.
Avoidance is not a strategy. You can't determine the best use of your time without knowing your choices.
"Your mind is for having ideas, not holding them." is a registered trademark of the David Allen Company.
Kathy Muzik


ODP Announcement 22-036 is to share information for residential providers to assist the Office of Developmental Programs (ODP) in ensuring effective use of statewide residential resources. For purposes of reporting residential vacancies, a “residential vacancy” is any change in a Licensed 6400 or Licensed 6500 setting that results in the occupancy of the home being less than the setting’s approved program capacity (excluding individuals who are on medical or therapeutic leave). Reporting a residential vacancy helps to ensure:
Providers have an opportunity to inform SCOs, Counties, and ODP of vacancies in order to better coordinate referrals; Individuals have an opportunity to reside in their preferred geographic areas, close to friends, family, and the community that they know; Centralized reporting of residential vacancy information is available; and Individuals most in need are considered first for a residential habilitation opportunity.
Once a vacancy is identified, the licensed residential habilitation home or Lifesharing setting can be used for respite services as long as the home remains within the approved program capacity. The approved program capacity for Chapter 6400/6500 residential service locations is set by the PA Department of Human Services (DHS or The Department) in accordance with ODP’s policy on Approved Program Capacity (APC) stated in ODP Announcement 19-138: Approved Program Capacity (APS) and Updated Noncontiguous Clearance Form.
ODP has developed a streamlined process that allows providers to complete an online ODP Residential Vacancy survey to report available residential vacancies within the agency. Use of this tool is encouraged and replaces the previous process of submitting the DP 1024 form.
Reporting a Residential Vacancy:
Before submitting a Residential Vacancy Survey, providers are encouraged to notify their local AE of the vacancy. The AE may have an individual referral that would meet the characteristics of the vacancy. To start the referral process, a provider can submit the vacancy notification to ODP by accessing the Residential Vacancy Survey. Submission of the form should be completed within three (3) business day of the creation of the vacancy. The Residential Vacancy Survey is designed to allow providers to enter up to 10 vacancies in succession. This eliminates the need to repeatedly enter the general information for the provider, such as the Master Provider Index (MPI) number and contact information. All providers are encouraged to complete the vacancy notification through the Residential Vacancy Survey link. A provider may experience delays in filling vacancies or completing changes to the APC when the Residential Vacancy Survey is not utilized. In preparation of completing the survey in the most efficient manner, providers should have available the specific information listed in the announcement.
Reporting a Residential Vacancy That is No Longer Available (Filled):
Once the vacancy is filled, the Provider will access the Residential Vacancy Survey in order to remove the vacancy from the statewide report. The Provider should enter the effective date for when the vacancy was no longer available.


Background: The Netflix drama 13 Reasons Why (13RW) focusing on the suicide of an adolescent girl became a global phenomenon. It was accompanied by intense public debate about the risks of exposing youth to fictional portrayals of adolescent suicide. Aims: To explore adolescents’ subjective perspectives and understanding of 13RW focusing on the portrayal of adolescent suicide. Method: We applied a thematic analysis to qualitative data from interviews with 25 New Zealand adolescents eliciting views on the show’s portrayal of adolescent suicide. Results: Four themes were developed from the analysis: entertaining but not realistic; the unexpected shock factor; jumbled messages; and superficial conversations. Conclusion: This study contributes a youth perspective which has been missing from the debate on 13RW. This research highlights the way that youth, when given the opportunity, articulated a nuanced understanding of the representation of adolescent suicide in 13RW, viewing it as entertainment rather than a realistic depiction that added little in terms of suicide awareness and generated minimal opportunities for in-depth discussion.


How Transitional Care in Terre Haute Reduces Hospital Readmissions Ready-Set-Go Home with Transitional Care
Having a loved one in the hospital can be a stressful experience. As the discharge date approaches, many families simply look forward to their loved one's return home and don't always consider the needs they may have upon their return. The transitional care services from Visiting Angels® Terre Haute are designed to help families in this situation arrange for at-home support that can make a significant difference in their loved ones' recovery.
What Causes Hospital Readmissions in Terre Haute?
Being readmitted to the hospital can be exhausting, costly, and uncomfortable. Unfortunately, rehospitalizations are all too common for elderly adults. According to statistics from Medicare beneficiaries, 1 in 5 seniors return to the hospital within only a month of leaving.
Understanding the factors that result in rehospitalization can help you know how to plan for your loved one's discharge. One variable often shared among seniors who are readmitted is a lack of high-quality support at home in the period immediately following discharge. When seniors are already tired and weak due to their hospital stay, basic chores and essential personal care tasks are the last thing they want to do. However, when they skip steps that are crucial to their recovery, they can open the door to complications that further increase the chance of a readmission.
How Our Transitional Care Program Helps
To deliver care that tends to the full range of needs seniors experience before and after a hospital discharge, we have developed a comprehensive transitional care program. Called Ready-Set-Go Home, this program has been carefully designed to accommodate seniors in the Terre Haute area and their overwhelmed family caregivers during this sensitive time.
We use a three-prong approach to care when delivering the services included in this program:
We begin with support at the hospital.We know many families lack resources for making a successful transition from hospital to home, and our care coordinators are available to offer guidance and information. We deliver high-quality care for seniors at home.When seniors return home, they typically need a helping hand with tasks ranging from cooking to remembering to take medications and getting dressed. We keep up with seniors' progress at our local office.The supportive staff members at our office in Terre Haute assist with coordinating care throughout seniors' recovery.
Get in touch with Visiting Angels Terre Haute today to book a no-cost transitional care consultation in Terre Haute or a community in the vicinity such as Brazil, Carbon, Cory, Judson, or Rockville.
Serving Terre Haute and the Surrounding Areas
Visiting Angels TERRE HAUTE, IN1452 S 25th St
Terre Haute, IN 47803
Phone: 877-334-1531
Fax: 765-848-1046


Abstract
Containing skyrocketing health care costs is imperative. Toward that end, prescriptive analytics that analyzes health care data to recommend optimal decisions is both relevant and crucial. We develop a novel prescriptive analytics method to improve the cost effectiveness in clinical decision making (CDM), a critical health care dimension that can greatly benefit from analytics. Effective prescriptive analytics for CDM has to address its probabilistic, cost-sensitive, and investment-related characteristics simultaneously. Unlike existing methods that often overlook the investment-related characteristic, the proposed method accounts for all of these characteristics. Specifically, our method considers two sets of costs associated with clinical decisions—before and after an investment—in combination with the probabilities of cost changes due to the investment. In contrast, prevalent methods only emphasize one set of costs, before an investment. Furthermore, the proposed method involves both clinical and investment decisions, whereas existing methods ignore investment decisions. Empirical evaluations with two real-world clinical data sets indicate that the proposed method consistently and significantly outperforms several salient methods from previous research, thereby demonstrating the value of addressing the investment-related characteristic in efforts to improve CDM.
Recommended Citationfang, xiao; Gao, Yuanyuan; and Hu, Paul Jen-Hwa. 2021. "A Prescriptive Analytics Method for Cost Reduction in Clinical Decision Making," MIS Quarterly, (45: 1) pp.83-115.